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NPI Code Detail

MEDICARE: ELLEN BRISCOE

MEDICARE: ELLEN BRISCOE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist2014026370MO

General Provider Information

NPI Number : 1881002020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN BRISCOE
Provider Business Mailing Address
First Line : 7500 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1816
Country : US
Telephone Number : 816-444-4179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 07/31/2014

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Directions to “ ELLEN BRISCOE ” Practice Location

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